# ALEXA J ZINK BAXTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104011105
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 001841 | IA | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 09/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DA1548 | RAILROAD MEDICARE GROUP | — |
| 01 | — | I21756 | MEDICARE PTAN | IA |
| 01 | — | I9767 | MEDICARE GROUP PTAN | — |
| 01 | — | P00464899 | PTAN | IA |
